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Scenario (MOC): A client with a compound fracture of the left femur is being admitted to the Med-Surg unit. Which of the following actions is best for the nurse to take? There is one correct answer.

  1. Ask the assistive personnel (AP) to obtain the client’s vital signs while the nurse obtains a history from the parents.
  2. Ask the LPN to assess the peripheral pulses of the client’s left leg while the nurse
    completes the admission forms.
  3. Ask the LPN to stay with the client and parents while the nurse obtains phone orders from the primary health care provider.
  4. Ask the AP to obtain equipment for the client’s care while the nurse talks with the client and the family.

Step 1: Reword the question in your own words to provide clarity to the question.

Step 2: Eliminate answer choices based on your knowledge of priorities & indicate reason for eliminating the specific answer. Enter the word “CORRECT” for the correct answer.

  1. ____________________________________________________________

Provide two (2) Nursing Diagnosis for the Nursing Care Plan that address the highest priority for this client.

For the following questions, please rewrite the questions in your own words on the lines below the answer choices.

  1. A registered nurse (RN) is developing a plan of care for a client admitted with pneumonia. Which tasks can the RN delegate to the nursing assistive personnel (NAP)? Select all that apply.

A. Bathing the client
B. Shaving the client
C. Providing oral care
D. Administering lubricating eye drops
E. Performing a sterile dressing change

  1. A client is given a diagnosis of terminal cancer, and the health-care
    provider suggests hospice services for the family. The family is hesitant
    and asks the nurse what hospice can provide. Which responses given by
    the nurse are appropriate? Select all that apply.

A. “Hospice services assist the family with funeral planning.”
B. “Hospice services ensure the client is comfortable and the pain is controlled.”
C. “Hospice services allow the client to preserve dignity during the dying process.”
D. “Hospice services provide spiritual care for the client within the client’s culture.”
E. “Hospice services can provide chemotherapeutic medications for treatment.”

  1. A 65-year-old patient is admitted to the hospital with heart failure. The patient’s best friend accompanies her on admissions. They have been sharing a home since they each were widowed 3 years ago. Both women have grown children who live out of state. Using the family nursing approach, how can the nurse best intervene?

A. Involve the friend and children in the patients care, discharge planning and home care.
B. Encourage the friend to wait until discharge to provide care for the patient at home.
C. Explains to the friend that for confidentiality reasons she cannot be involved in the patients care.
D. . Encourages liberal visiting hours by the friend and the patient’s children.

  1. A patient and his wife are 2 years from retirement when he is diagnosed with lung cancer. although with delayed childbearing, developmental stages can vary among families, which typical stage of family development is this couple likely experiencing?

A. Family launching young adults
B. Post parental family
C. Family with frail elderly
D. Family with teenagers and young adults

  1. What should the nurse keep in mind when learning about cultures? Select all that apply.

A. Culture is universal and dynamic.
B. Cultural beliefs contribute to individuality.
C. Culture exists only in nonmaterial possessions.
D. Culture is passed down throughout generations.
E. Culture consists of common beliefs and practices.
F. Cultural assumptions and habits are unconscious.

  1. You are trying to become more assertive in your communication with clients
    and other healthcare professionals. Which of the following should you do?
    Select all that apply?

A. Question care decisions openly and honestly.
B. Use “you” statements.
C. Focus on the participants, not the issue.
D. Make eye contact.
E. Use “fogging” to help accept criticism without becoming anxious or defensive.
F. Use negative inquiry.

  1. Which of the following is a procedure that uses both sterile technique and principles of
    medical asepsis?

A. Starting an IV line
B. Administering oral medication
C. Insertion of urinary catheter
D. Assisting a client brush his/her teeth

  1. When educating a client on nail care of the feet, what important aspects should be included?
    A. Cut deep into the lateral corners
    B. Cut cuticle back with cuticle clipper
    C. Trim nail with nail clipper if diabetic, file nail
    D. Encourages biting of the finger

  1. A patient arrives at the hospital presenting impaired gas exchange. The nurse understands that some of the possible etiologies for this problem include: Select all that apply.

A. Pulmonary embolus, caused by an obstruction of the pulmonary arterial circulation by a foreign substance (e.g., blood clots or fat).
B. Pulmonary hypertension, in which the high pressure causes right-sided heart failure over time, reducing the amount of blood pumped into the pulmonary circulation.
C. Hyperventilation, which halts the physiological mechanisms associated with input and output of oxygen and carbon dioxide that occur in the alveoli tissue.
D. Spinal cord injuries, that may compromise nerve transmissions between the brain and areas below the level of injury, such as the diaphragm, a muscle related to the respiration.
E. Unstable breathing patterns, such as apnea and eupnea, most common in preterm infants and older adults, which causes absence of breathing and, therefore, impaired gas exchange.

  1. A 74-year-old female patient in the postoperative department has a risk of blood clots. What should be done to prevent clot formation. Select ALL that apply.
    A. Turn the patient frequently
    B. Sufficient dilution of the intravenous medications administered
    C. Reduce fluid intake
    D. Provide anticoagulant therapy.

Sample Answer

Compelling correspondence is essential to the achievement all things considered but since of the changing idea of the present working environments, successful correspondence turns out to be more troublesome, and because of the numerous impediments that will permit beneficiaries to acknowledge the plan of the sender It is restricted. Misguided judgments.In spite of the fact that correspondence inside the association is rarely completely open, numerous straightforward arrangements can be executed to advance the effect of these hindrances.

Concerning specific contextual analysis, two significant correspondence standards, correspondence channel determination and commotion are self-evident. This course presents the standards of correspondence, the act of general correspondence, and different speculations to all the more likely comprehend the correspondence exchanges experienced in regular daily existence. The standards and practices that you learn in this course give the premise to additionally learning and correspondence.

This course starts with an outline of the correspondence cycle, the method of reasoning and hypothesis. In resulting modules of the course, we will look at explicit use of relational connections in close to home and expert life. These incorporate relational correspondence, bunch correspondence and dynamic, authoritative correspondence in the work environment or relational correspondence. Rule of Business Communication In request to make correspondence viable, it is important to follow a few rules and standards. Seven of them are fundamental and applicable, and these are clear, finished, brief, obliging, right, thought to be, concrete. These standards are frequently called 7C for business correspondence. The subtleties of these correspondence standards are examined underneath: Politeness Principle: When conveying, we should build up a cordial relationship with every individual who sends data to us.

To be inviting and polite is indistinguishable, and politeness requires an insightful and amicable activity against others. Axioms are notable that gracious “pay of graciousness is the main thing to win everything”. Correspondence staff ought to consistently remember this. The accompanying standards may assist with improving courtesy:Preliminary considering correspondence with family All glad families have the mystery of progress. This achievement originates from a strong establishment of closeness and closeness. Indeed, through private correspondence these cozy family connections become all the more intently. Correspondence is the foundation of different affiliations, building solid partners of obedient devotion, improving family way of life, and assisting with accomplishing satisfaction (Gosche, p. 1). In any case, so as to keep up an amicable relationship, a few families experienced tumultuous encounters. Correspondence in the family is an intricate and alluring marvel. Correspondence between families isn’t restricted to single messages between families or verbal correspondence.

It is a unique cycle that oversees force, closeness and limits, cohesiveness and flexibility of route frameworks, and makes pictures, topics, stories, ceremonies, rules, jobs, making implications, making a feeling of family life An intelligent cycle that makes a model. This model has passed ages. Notwithstanding the view as a family and family automatic framework, one of the greatest exploration establishments in between family correspondence centers around a family correspondence model. Family correspondence model (FCP) hypothesis clarifies why families impart in their own specific manner dependent on one another ‘s psychological direction. Early FCP research established in media research is keen on how families handle broad communications data. Family correspondence was perceived as an exceptional scholastic exploration field by the National Communications Association in 1989. Family correspondence researchers were at first impacted by family research, social brain science, and relational hypothesis, before long built up the hypothesis and began research in a family framework zeroed in on a significant job. Until 2001, the primary issue of the Family Communication Research Journal, Family Communication Magazine, was given. Family correspondence is more than the field of correspondence analysts in the family. Examination on family correspondence is normally done by individuals in brain science, humanism, and family research, to give some examples models. However, as the popular family correspondence researcher Leslie Baxter stated, it is the focal point of this intelligent semantic creation measure making the grant of family correspondence special. In the field of in-home correspondence, correspondence is normally not founded on autonomous messages from one sender to one beneficiary, yet dependent on the dynamic interdependency of data shared among families It is conceptualized. The focal point of this methodology is on the shared trait of semantic development inside family frameworks. As such, producing doesn’t happen in vacuum, however it happens in a wide scope of ages and social exchange.

Standards are rules end up being followed when performing work to agree to a given objective. Hierarchical achievement relies significantly upon compelling correspondence. So as to successfully impart, it is important to follow a few standards and rules. Coming up next are rules to guarantee powerful correspondence: clearness: lucidity of data is a significant guideline of correspondence. For beneficiaries to know the message plainly, the messages ought to be sorted out in a basic language. To guarantee that beneficiaries can without much of a stretch comprehend the importance of the message, the sender needs to impart unmistakably and unhesitatingly so the beneficiary can plainly and unquestionably comprehend the data.>

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